A 54-year-old presents 2 hours after onset of substernal chest pain. ECG shows no ST-elevation. Initial high-sensitivity troponin is below the 99th pe...

Question

A 54-year-old presents 2 hours after onset of substernal chest pain. ECG shows no ST-elevation. Initial high-sensitivity troponin is below the 99th percentile. What is the best next step according to guideline-endorsed accelerated diagnostic pathways?

Accepted Answer

Repeat high-sensitivity troponin at 1 hour within an accelerated diagnostic pathway

Answer

Discharge home now with no further testing

Answer

Perform an exercise stress test immediately

Answer

Administer fibrinolytic therapy

Answer

Start full-dose anticoagulation empirically

us-abem MCQ (SBA): Suspected ACS

A 54-year-old presents 2 hours after onset of substernal chest pain. ECG shows no ST-elevation. Initial high-sensitivity troponin is below the 99th percentile. What is the best next step according to guideline-endorsed accelerated diagnostic pathways?